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Organization

ASSOCIATES FOR PSYCHOTHERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUISE A ZUBROD PHD (OWNER)
(207) 774-5741
Entity
Organization

Contact information

Practice address
22 FREE ST, SUITE 402, PORTLAND, ME 04101-3960
(207) 774-5741
(207) 772-4322
Mailing address
22 FREE ST, SUITE 402, PORTLAND, ME 04101-3960
(207) 774-5741
(207) 772-4322

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS506
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026804
ANTHEM
ME
05
117140000
ME
Enumeration date
02/24/2007
Last updated
12/05/2012
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